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5 Written questions

5 Matching questions

  1. Kava (Piper methysticum)
  2. Licorice root extract
  3. Black Cohosh
  4. St John's Wort (Hypericum perforatum) Side Effects
  5. Ginseng (American or Asian (Panax) ginseng) Side Effects
  1. a menopause symptoms, rheumatoid arthritis, induce labor
  2. b potential effects on coagulation, do not use in patients taking anti-coagulants, MAO-Is, antipsychotics and hypoglycemics. Not recommended in pregnancy. Risk of serotonin syndrome.

    Discontinue 7 days before general anesthesia
  3. c anxiety, improve sleep
    (Don't mix with things that will cause CNS depression)
  4. d topically: photosensitivity; oral: can cause mania in patients with bipolar disorder, exacerbate psychosis in schizophrenia, serotonin syndrome in combination with SSRIs; oral: may have MAO-I activity, so avoid tyramine-containing foods (processed meat, red wine, aged cheese, avocados, soy)
  5. e May reduce growth of canker sores

5 Multiple choice questions

  1. headache, excitability, cardiac disturbanes, fatigue, blurry vision, grogginess

    Due to CNS depression, do not use with general anesthetics, benzodiazepines, non-benzo sedatives, barbiturates, opioids
  2. Reduce cholesterol, triglycerides, blood pressure and inhibit platelet aggregation
  3. May increase risk of bleeding - use caution with anticoagulants or NSAIDS, discontinue 2 weeks before surgery, risk of serotonin syndrome
  4. Hypersensitivity especially in people with severe allergies or allergic to daisies, including ragweed. Do not use in patients taking immunosuppressants or with auto-immune dx, HIV, TB
  5. Discontinue before anesthesia:
    Clove oil
    Passion Flower
    Valerian Root

5 True/False questions

  1. Ginkgo (Ginkgo biloba)Dementia, intermittent claudication, peripheral arterial insufficiency, sexual dysfunction


  2. Evening Primrose Oil (Oenothera biennis) Side EffectsGI upset, headache


  3. Garlic (Allium sativum) Side EffectsOdor, nausea, mouth/esophageal ulceration

    Increases risk of bleeding - discontinue use 2-3 weeks before surgery, caution with anticoagulants or antithrombotics (Aspirin or NSAIDS)


  4. Clove Oilmenopause symptoms, rheumatoid arthritis, induce labor


  5. Why take herbal medicine?St. John's Wort
    Black Cohosh


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